| NPI | 1659388429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 006383-1) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 00006383) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2016-12-02 |